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General NPI Number Information
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NPI Number | 1174986566
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Entity Type | Organization
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Legal Business Name | TEXAS MEDICAL MANAGEMENT PARTNERS, INC.
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1001 S MAYS ST STE 205
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City | ROUND ROCK
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State | TX
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Zip | 78664-6732
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Country | US
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Telephone | 512-275-6471
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Fax | 888-910-1310
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Provider Business Mailing Address
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Address Line | 1001 S MAYS ST STE 205
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City | ROUND ROCK
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State | TX
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Zip | 78664-6732
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Country | US
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Telephone | 512-275-6471
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Fax | 888-910-1310
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SEAN MICHAEL KELLEY
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Credential |
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Telephone | 512-971-2968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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